Key messages in the transformation of care and support

Creating the five year forward view for social care

Adult social care has repeatedly demonstrated its capacity for transformation: pioneering de-institutionalisation, personal budgets and more recently, asset-based approaches.

Health and care systems will not provide good services that meet rising demand without realigning around people and communities.

There are five areas where transformation needs to take place

Helping all people and families to stay well,connected to others and resilient when facing health or care needs.

Supporting people and families who need help to carry on living well at home.

Enabling people with support needs to do enjoyable and meaningful things during the day, or look for work.

Developing new models of care for adults and older people who need support and a home in their community.

Equipping people to regain independence following hospital or other forms of health care.

If the sector scales up promising practice, economic modelling shows that outcomes can be improved and costs reduced.

The sector needs to have difficult, challenging and creative local conversations involving people who use services and others, which create space to move forward together.

Further research and economic modelling is needed on the promising practices to build a business case for proper and effective investment in social care.

Scaling up what works - summary

We looked at the available evidence around the costs and benefits associated with the implementation of a range of different schemes. The quality of the evidence was evaluated and six models were selected which could potentially be scaled up in Birmingham. The table below sets out a summary of the findings from this process, based on real data supplied by Birmingham City Council.

Key enablers for implementation: Investment of around £250,000 required for each new set of 75 arrangements. Time is required to see the full benefits. Once the coordinator has been recruited it will be two years until the break-even point for the scheme is reached

Equipping people to regain independence following hospital or other forms of health carePotential net saving (Birmingham): £4.5m ASC Open

Key enablers for implementation: Additional intensive support from respected social workers who are prepared to challenge the status quo is required to embed new ways of working. Clear success measures and escalation routes are also required

Equipping people to regain independence following hospital or other forms of health carePotential net saving (Birmingham): £167,000 ASC and £444,000 NHS Open

Primary characteristic of target population: Older people whose day-today activities are very limited

Existing beneficiaries (Birmingham): N/A

Potential beneficiaries (Birmingham): 1,357

Potential barriers to expansion: Lack of available volunteers to run service at scale

Key enablers for implementation: Sharing the costs with health organisations

Total Financial benefit £7.5m ASC* and £1.8m NHSOpen

* The total financial benefit figure for adult social care (ASC) assumes that there is potential for double counting of benefits because of the small overlap between the target populations for the three schemes. The value of this duplicated benefit has been estimated as approximately £0.35m and deducted from the net total.